摘要
目的:调查老年晚期胃癌患者发生医院获得性压疮(HAPV)的现状及危险因素。方法:回顾性分析278例老年晚期胃癌患者的临床资料,参照营养状况评定的主观全面性评价法及微型营养评价法,收集患者年龄、合并的疾病状态、消化道症状、人体营养学指标、实验室生化指标、卧床时间、饮食类型、化疗药物种类等相关指标,对收集的资料进行单因素分析和多因素Logistic回归分析。结果:278例住院患者中,48例发生压疮,发病率17.2%,压疮的主要部位为骶尾部、足跟部,分别占压疮的41.8%,28.4%;经多因素Logistic回归分析最终筛选出:食欲减退、体温升高、血清白蛋白(ALB)<35 g/L、小腿围(CC)<30 cm、体质量指数(BMI)、饮食类型、卧床时间是老年消化道恶化肿瘤患者发生HAPV的独立危险危因素。结论:食欲减退、癌性发热、ALB、CC、BMI、饮食类型、卧床时间是老年晚期胃癌患者HAPV的发生独立危险因素,应当给予足够重视,对此类高危因素进行针对性的干预,以期预防HAPV的发生。
Objective:To explore the status quo and risk factors of hospital acquired pressure ulcers in elderly patients with advanced gastric cancer.Methods:A total of 278 cases of elderly patients with advanced gastric cancer were analyzed retrospectively.According to the methods of subjective global assessment and mini-nutritional assessment,the related indexes such as age,combined disease status,gastrointestinal symptoms,human nutrition indexes,laboratory biochemical indexes,bed time,diet type,types of chemotherapy drugs were collected,and single factor analysis and multi factor Logistic regression analysis were performed.Results:Among 278 hospitalized patients,48 cases had showed pressure ulcers with the incidence of 17.2%.The main parts of pressure ulcers were sacrococcygeal region and heel,accounted for 41.8%and 28.4%,respectively.The multi factor Logistic regression analysis showed that anorexia,body temperature increased,serum albumin(ALB)<35 g/L,calf circumference(CC)<30 cm,body mass index(BMI),diet type,bed time were independent risk factors of HAPV in elderly patients with digestive tract malignant tumor.Conclusion:Anorexia,carcinomatous fever,ALB,CC,BMI,diet type and bed time are independent risk factors of HAPV in elderly patients with advanced gastric cancer.We should pay enough attention to these risk factors and make targeted intervention to prevent HAPV.
作者
孙晓丽
王华丽
青华
SUN Xiaoli;WANG Huali;QING Hua(No.989 Hospital of Joint Logistic Support Force of PLA,Pingdingshan 467000)
出处
《陕西医学杂志》
CAS
2020年第8期1049-1052,共4页
Shaanxi Medical Journal
关键词
胃癌
老年人
医院获得性压疮
营养不良
危险因素
调查研究
Gastric cancer
Aged
Hospital acquired pressure ulcers
Malnutrition
Risk factor
Investigation
